Fairfield County Area Humane Society

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VOLUNTEERING APPLICATION
Printable Format

THE BASICS

Your Name

Your Address

City/State/Zip

Your Age: Home Phone: Cell Phone:

Email:

Highest level of education (please check one)

Did not finish high school
Attending college

Attending high school
College degree

Graduated high school / GED
Advanced degree

Employment status (please check one)

Not currently working
Current job 5 yrs. or more

Current job less than 6 mo.
Retired

Current job over 1 yr.
Homemaker

Have you ever been convicted of a felony? No Yes (explain below)

REFERENCES

Emergency Contact Name

Emergency Contact Phone

Please list two references who can speak to your character,
work ethic, and/or experience with animals

First Reference Name

First Reference Phone

Second Reference Name

Second Reference Phone

Why do you want to volunteer at our shelter?

LIVING SITUATION

Describe any special skills or hobbies:

Describe any allergies, physical disability, or other limitations that may restrict your volunteer experience or require special attention:

Describe any experience with animals:

If you currently own pets, are they spayed or neutered? Yes No (explain why)

Please check any areas of interest below: (please check one)

Walking dogs
Clerical
W.I.N. (wherever I'm needed)
Adoption counseling
Fundraising

Socializing cats
Maintenance/construction
General cleaning
Education

Describe your ability to volunteer: (days of the week, hours of the day)

I attest that the information contained in this application is accurate and true to the best of my knowledge. I understand that by submitting this application it is not a guarantee of my being able to volunteer. Furthermore I understand that FAHS reserves the right to limit or terminate my volunteer experience at any time for any reason.


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